Psycho-Babble Medication | about biological treatments | Framed
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Posted by Ame Sans Vie on September 3, 2004, at 4:58:40

In reply to Re: TRAMADOL + NARDIL....., posted by ace on September 2, 2004, at 23:27:50

Hi Ace!

Just thought I'd throw in my two cents, for what it's worth. I'm not sure if you followed along with my experience with tramadol for depression/SP/mild OCD/fibromyalgia early last year, but I have nothing but good to say about it except for my idiosynchratic reaction which resulted in my discontinuation -- i.e., it seemed to exacerbate my fibro pain in the long run, which I'm sure is an uncommon reaction. And then there was an awful withdrawal that was *very* consistent with SSRI withdrawal syndrome, but it was nothing a little Prozac couldn't handle.

That said, during my six-month Nardil trial a couple years back, I took Ultram at one point for a couple weeks just for whiplash pain after a minor accident. I felt a little feverish if I took the full 100mg dose (and a bit euphoric as the other poster you quoted mentioned, though I wasn't complaining about that, lol). Fifty milligrams worked very well, though. People definitely tend to underestimate the SNRI effects of this drug, but I'd say it's no more dangerous than a tricyclic + MAOI combination used judiciously with a low dose (25-50mg TID or QID) to start. I absolutely wouldn't exceed the maximum recommended daily dose of 400mg daily though -- but again, that's just my opinion. Provided that you're under the care of an open-minded and knowledgeable physician, I see no problem with this combination. Good luck!





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